PMID: 8607672Apr 1, 1996Paper

Pulmonary autografts in patients with aortic annulus dysplasia

The Annals of Thoracic Surgery
R C ElkinsC E Howell

Abstract

Pulmonary autograft replacement of the aortic valve is indicated in the young, in patients with an active life style, and when anticoagulation is contraindicated. Its use in patients with a dilated aortic annulus or sinotubular junction has historically had a less satisfactory result. To extend the advantages of the pulmonary autograft to this group of patients, we performed the Ross operation as a root replacement and "fixed" and narrowed the aortic annulus with external woven Dacron in 12 patients, Teflon felt in 5, and pericardium in 3. Twenty patients, aged 7 to 47 years (median, 27 years), are reported to assess the effectiveness of this operative technique. Preoperative aortic annulus diameter was 23 to 33 mm (13 were >27 mm). There were no operative or late deaths. Early postoperative, echocardiographic evaluation of autograft valve function revealed no significant obstruction, grade 0 aortic insufficiency in 5, trace to 1+ in 12, and 2+ in 2. Late evaluation of 1 to 4 years is available in 12 patients and has shown no increase in autograft insufficiency. This experience suggests that operative fixation of the aortic annulus with an external Dacron cuff is effective and is recommended in patients with an aortic annulus t...Continue Reading

References

Sep 1, 1989·The American Journal of Cardiology·M J RomanJ O'Loughlin

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Citations

Aug 1, 1996·The Annals of Thoracic Surgery·R C ElkinsC McCue
Jul 6, 2000·The Annals of Thoracic Surgery·C J Knott-CraigM M Lane
Jun 5, 2001·The Annals of Thoracic Surgery·J O BöhmD Roser
Aug 7, 2003·The Annals of Thoracic Surgery·David A FullertonKeith A Horvath
Aug 6, 1998·The Annals of Thoracic Surgery·W F Northrup, V R Kshettry
Oct 30, 1999·The Annals of Thoracic Surgery·K M DosscheJ J van den Brand
Nov 9, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·V SirvydisV Lebetkevicius
Nov 1, 1996·Journal of Cardiac Surgery·P K Ghosh, S Garg
Apr 6, 2000·The Annals of Thoracic Surgery·L G SvenssonE Nadolny
Sep 23, 2008·The Journal of Thoracic and Cardiovascular Surgery·Ronald C ElkinsMarvin D Peyton
Jul 4, 2001·The Journal of Thoracic and Cardiovascular Surgery·A LauditoV M Reddy
Nov 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T E DavidZ Sun
Jun 17, 1998·The Journal of Thoracic and Cardiovascular Surgery·P H SchoofH A Huysmans
Oct 3, 1999·The Annals of Thoracic Surgery·R C Elkins
Nov 28, 2001·The Annals of Thoracic Surgery·F A PigulaR D Siewers
Mar 4, 1998·The Annals of Thoracic Surgery·R C ElkinsM M Lane
Apr 12, 2000·The American Journal of Cardiology·C SavoyeA Prat
Mar 27, 2007·The Annals of Thoracic Surgery·Bruno ChiappiniGebrine El Khoury
May 28, 2008·Magyar sebészet·Zsolt Nagy, Kevin G Watterson
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Thomas L. Spray
Feb 1, 2005·The Annals of Thoracic Surgery·Fabrizio SettepaniKarl M Dossche
Jul 27, 2006·Asian Cardiovascular & Thoracic Annals·Rong WangHelmi Albrecht
May 23, 2002·Scandinavian Cardiovascular Journal : SCJ·Bansi KoulAnders Roijer
Apr 8, 1999·Journal of Cardiac Surgery·J H Oury

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